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All Journal Majalah Kedokteran Bandung Althea Medical Journal Jurnal Keolahragaan Global Medical and Health Communication JOURNAL OF HEALTHCARE TECHNOLOGY AND MEDICINE Jurnal Sistem Kesehatan Journal of Medicine and Health Indonesian Journal of Obstetrics & Gynecology Science Indonesian Journal of Obstetrics and Gynecology (Majalah Obstetri dan Ginekologi Indonesia) Jurnal Pendidikan dan Pelayanan Kebidanan Indonesia (Indonesian Journal of Education and Midwifery Care) JTP - Jurnal Teknologi Pendidikan Andalas obstetrics and gynecology journal Jurnal Ners Majalah Kesehatan Indonesia Jurnal Kesehatan Rajawali Jurnal Lintas Keperawatan Journal of Medicine and Health

Ruswana Anwar

Departement Of Obstetrics And Gynecology, Faculty Of Medicine, Universitas Padjadjaran/Dr. Hasan Sadikin General Hospital Bandung

Author-ID : 230238

Humanities Biochemistry, Genetics & Molecular Biology Computer Science & IT Dentistry Education Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Veterinary

Published : 38 Documents Claim Missing Document

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Evaluasi Keterampilan Bidan dalam Pengelolaan Persalinan dengan Berat Badan Lahir Rendah (BBLR) (Studi tentang Pemantauan Intrapartum dan Resusitasi BBLR) Lisnawati Lisnawati; Hadyana Sukandar; Ruswana Anwar; Farid Husin; Dadang Syarif Effendi; Anita Deborah Anwar
Jurnal Pendidikan dan Pelayanan Kebidanan Indonesia (Indonesian Journal of Education and Midwifery Care Vol 2, No 3 (2015): September
Publisher : Program Studi Magister Kebidanan FK UNPAD

Kematian neonatal dini adalah sekitar 80% dari semua kematian neonatal dan penyebab tertinggiadalah BBLR. Peningkatan pengetahuan, sikap dan keterampilan bidan, merupakan upaya dalammenurunkan angka kematian bayi. Banyaknya persalinan spontan dengan usia kehamilan prematuryang ditolong oleh bidan menjadi dasar perlunya peningkatan keterampilan mengenai BBLR.Penelitian ini bertujuan untuk mengevaluasi keterampilan bidan dalam pengelolaan persalinan denganBBLR dalam pemantauan intrapartum dan resusitasi. Penelitian ini adalah penelitian deskriptif denganmenggunakan teknik kuantitatif dan kualititaif. Pada teknik kuantitatif, variabel keterampilan bidandalam pemantauan intrapartum (kala I fase aktif) dinilai menggunakan daftar tilik kepada 20 orangbidan di ruang bersalin yang pernah mendapatkan minimal 1 kasus persalinan dengan BBLR. Evaluasiketerampilan bidan dalam resusitasi BBLR dilakukan oleh lembaga profesional neonatologi yaituLanterna Indonesia. Pada penelitian kualitatif, dilakukan wawancara pada bidan di ruang bersalin danmanager rumah sakit terkait. Hasil penelitian menunjukkan bahwa bidan tidak terampil dalampemantauan intrapartum dan resusitasi BBLR. Nilai rata-rata keterampilan bidan dalam melakukantindakan pemantauan intrapartum adalah 70,3% (nilai tertinggi 81,25% dan terendah 62,25%), dannilai rata-rata keterampilan bidan dalam resusitasi BBLR adalah 42,25% (nilai tertinggi 70% danterendah 20%). Bidan mengetahui bahwa persalinan BBLR bukan kewenangan bidan, selama inipenatalaksanaan persalinan dengan BBLR adalah melalui advis dokter, namun bidan merasa belumkompeten dan belum percaya diri dalam memberikan asuhan pada pengelolaan persalinan denganBBLR. Penelitian ini menunjukkan keterampilan bidan dalam pemantauan intrapartum dan resusitasipada kasus BBLR belum cukup baik untuk dapat menurunkan angka kematian akibat BBLR.

Nyeri Haid dan Kista Endometriosis pada Remaja Ruswana Anwar; Jaeni Pringgowibowo
Indonesian Journal of Obstetrics & Gynecology Science Volume 6 Nomor 1 Maret 2023
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia/v6n1.458

Tujuan: Kegiatan pengabdian masyarakat ini bertujuan untuk untuk menganalisis tingkat pengetahuan dismenore yaitu dismenore primer dan sekunder dengan memberikan solusi melalui penyuluhan di Kota Bandung.Metode: Kegiatan pertama adalah kunjungan dan wawancara dengan pasien wanita di UPT Puskesmas Garuda Kota Bandung. Seusai acara, kami melakukan angket dan diskusi dengan siswa SMAN 24 Bandung dengan pendekatan konseling, serta membagikan booklet berjudul “mengenal nyeri haid normal” dan tayangan video. Hasil: Sikap responden 86,7% siswa mengalami ketidaknyamanan selama menstruasi: 1-2 hari sebelum dan 1-2 hari selama menstruasi; dan 63,9% siswa ditangani dengan istirahat. Pengetahuan responden setelah diberikan penyuluhan sebanyak 98,5% menjawab benar pengertian dismenore; 100% menjawab tipe dismenore adalah primer dan sekunder; 94% menjawab salah satu pengobatan komplementer saat nyeri haid kompres dengan air hangat; 100% menjawab penyakit yang menyebabkan dismenore adalah endometriosis; 97% menjawab gejala khas endometriosis adalah nyeri haid saat menstruasi.Kesimpulan: Terdapat peningkatan pengetahuan setelah diberikan penyuluhan tentang nyeri haid (dismenore) meningkat, terutama pengetahuan tentang endometriosis dan tipe dismenore primer maupun sekunder, sehingga dapat disimpulkan upaya pemberian penyuluhan sangat penting untuk menambah pengetahuan dan meningkatkan kesadaran mengenai upaya preventif dalam tata kelola penanganan nyeri haid.Menstrual Pain and Endometriosis Cysts in AdolescentsAbstractObjective: This community service activity aims to analyze the level of knowledge of dysmenorrhea, namely primary and secondary dysmenorrhea by providing solutions through counseling in the city of Bandung. Methods: The first activity was visits and interviews with female patients at UPT Puskesmas Garuda Bandung City. After the event, we conducted a questionnaire and discussion with students of sman 24 bandung with a counseling approach and distributed a booklet entitled “knowing normal menstrual pain” and video shows. Result: The attitude of respondents 86.7% of students experienced discomfort during menstruation: 1-2 days before and 1-2 days during menstruation; and 63.9% of students were treated with rest. Knowledge of respondents after being given counseling as much as 98.5% answered correctly the meaning of dysmenorrhea; 100% answered that the type of dysmenorrhea was primary and secondary; 94% answered one of the complementary treatments when menstrual pain was compressed with warm water; 100% answered that the disease that causes dysmenorrhea is endometriosis; 97% answered that the typical symptom of endometriosis is menstrual pain during menstruation. Conclusions: There is an increase in knowledge after being given counseling about menstrual pain (dysmenorrhea), especially knowledge about endometriosis and the types of primary and secondary dysmenorrhea, so it can be concluded that the effort to provide counseling is very important to increase knowledge and increase awareness about preventive efforts in the management of menstrual pain management.Key words: dysmenorrhea, menstrual pain, endometriosis.

Pengalaman Fisik Dan Psikologis Bidan Desa Puskesmas Cimareme Dalam Menghadapi Pandemi Covid-19 Ratna Ratna; Ruswana Anwar
Jurnal Kesehatan Rajawali Vol 13 No 1 (2023): Jurnal Kesehatan Rajawali
Publisher : Sekolah Tinggi Ilmu Kesehatan Rajawali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54350/jkr.v13i1.155

The increase in COVID-19 cases is a major challenge for health facilities and health workers. Previous research has reported that health workers treating COVID-19 patients experience physical and psychological stress. Village midwives during the pandemic received additional duties in handling and monitoring COVID-19 patients in their working areas. This study aims to explore village midwives' physical and psychological experiences in dealing with their duties and responsibilities during the COVID-19 pandemic. This research uses a qualitative phenomenological approach design. Subject selection technique using a homogenous sampling technique. The subjects in this research consisted of key informants, namely the Village Midwife and triangulation informants, namely the Head of the Community Health Center and the Coordinating Midwife. The determination of research subjects and the number of subjects in this research applies the principles of suitability and adequacy. The results of the research show that the village midwives at the Cimareme Health Center experienced the impact of physical and psychological pressure in dealing with their duties and responsibilities during the COVID-19 pandemic. The physical experiences experienced by the Village Midwife at the Cimareme Health Center are fatigue, lack of sleep, disturbed eating patterns, decreased body weight, decreased immune system, illness and contracting COVID-19. The psychological experiences felt by the village midwives at the Cimareme Health Center are worrying about their own and their family's health, fear of contracting COVID-19, worrying about problems that arise, sad to face death cases, depressed to face cases, and pressured to face the community.

Overview of Non-Pharmacological Treatment Option for Adolescent Girls with Dysmenorrhea in Cimahi, West Java, Indonesia Rahmani, Shofiatunisa Firdhausy; Anwar, Ruswana; Sasongko, Elsa Pudji Setiawati; Ritonga, Mulyanusa Amarullah; Arya, Insi Farisa Desy
Althea Medical Journal Vol 11, No 1 (2024)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v11n1.3064

Background: Dysmenorrhea is a condition of pain during menstruation that may affect daily activities. The phenomenon of dysmenorrhea in West Java has reached 54,9%. When dysmenorrhea is not treated, it can decrease productivity at school. This study aimed to find out which therapy was more widely used, the reasons for using the therapy, and to identify changes in non-pharmacological therapy as seen from the visual analog scale (VAS) assessment.Methods: This research used quantitative data with a descriptive study conducted with a cross-sectional method, and the instrument used was a questionnaire. The study was conducted in July 2022 with a total sample of 457 participants, and 366 samples met the inclusion criteria. This data analysis used Statistical Package for Social Scientists (SPSS version 28) to identify changes before and after non-pharmacological therapy options and the frequency distribution of the data.Results: The non-pharmacological therapy option was preferred by students (n= 366), and the reasons students used this therapy were seen from various aspects. Rest was the most frequently chosen activity by students (n= 329). All students felt a change in the pain scale before and after using non-pharmacological therapy with the visual analog scale (VAS).Conclusion: Students in grades 1 and 2 of SMAN 1 Cimahi prefer non-pharmacological therapy with rest. They have various aspects of reasoning and feeling changed after using the therapy. There is a change in the pain scale after using non-pharmacological therapy.

The Use Reproductive Health Game (KEPO Game) on Female Adolescent’s Five Dimensions Satisfaction Susilawati, Sri; Husin, Farid; Wirakusumah, Firman Fuad; Dhamayanti, Meita; Herman, Herry; Anwar, Ruswana; Sekarwana, Nanan
Global Medical & Health Communication (GMHC) Vol 7, No 1 (2019)
Publisher : Universitas Islam Bandung

The adolescent’s reproductive health is the major problem that should take into consideration. To solve this problem, it needs an alternative strategy by using a media, reproductive health/kesehatan reproduksi (KEPO) game, in Android smartphone. The aim is analyzing the effect of KEPO game on the five dimensions of female adolescent’s satisfaction. The research method was quasi-experiment, and the research design used pre-test post-test with control group design. The sampling technique used simple random sampling. The subject was 64 respondents of female student age of 12−15 years old in public junior high school in Bandung city. The respondents divided into two groups, the first one treated by KEPO game is 32 students of Public Junior High School 50 Bandung, while the control group was 32 students of Public Junior High School 8 Bandung, get counseling from Ujungberung Indah Public Health Center; the entire research conducted in April−May 2017. Research result shows the percentage differential of satisfaction average score improvement on both groups. The treatment group produces percentage of content 14.6%, display 23.6%, accuracy 11.4%, easiness 12.4%, and correctness 17%. In the other hand, control group produces content 5%, display 3%, accuracy 4.3%, easiness 2.8%, and correctness 4.7% with a p value for each indicator was p<0.05 on the intervention group and p<0.05 on the control one. Entirely, it known that adolescent’s satisfaction from those five aspects in using KEPO game has a matter differential p<0.05, with satisfied percentage, was 84%. In conclusion, there was an effect of KEPO game on the five dimensions of female adolescent’s satisfaction. PENGARUH PENGGUNAAN GIM KESEHATAN REPRODUKSI (KEPO) TERHADAP LIMA DIMENSI KEPUASAN REMAJA PEREMPUANKesehatan reproduksi remaja merupakan masalah utama yang harus diperhatikan sehingga untuk mengatasi ketidakpuasan remaja, diperlukan strategi alternatif, yaitu gim kesehatan reproduksi (KEPO) menggunakan smartphone Android. Tujuan penelitian ini adalah menganalisis pengaruh gim KEPO terhadap lima dimensi kepuasan remaja perempuan. Metode penelitian adalah quasi-experiment dan desain penelitian menggunakan pre-test post-test with control group design. Teknik pengambilan sampel menggunakan simple random sampling. Subjek penelitian adalah 64 responden siswa perempuan usia 12–15 tahun SMP Negeri di Kota Bandung. Responden dibagi menjadi dua kelompok, yaitu kelompok perlakuan menggunakan gim KEPO sebanyak 32 siswa SMP Negeri 50 Bandung, sedangkan kelompok kontrol menerima penyuluhan dari Puskesmas Ujungberung Indah sebanyak 32 siswa SMP Negeri 8 Bandung. Penelitian dilaksanakan pada bulan April–Mei 2017. Hasil penelitian menunjukkan perbedaan persentase peningkatan nilai rerata kepuasan pada kedua kelompok. Kelompok perlakuan menghasilkan persentase konten 14,6%, tampilan 23,6%, akurasi 11,4%, kemudahan 12,4%, dan ketepatan 17%. Di sisi lain, kelompok kontrol menghasilkan konten 5%, tampilan 3%, akurasi 4,3%, kemudahan 2,8%, dan ketepatan 4,7% dengan nilai p untuk setiap indikator sebesar p<0,05 pada kelompok intervensi dan p>0,05 kelompok kontrol. Secara keseluruhan, diketahui bahwa kepuasan remaja dari kelima aspek kepuasan dalam menggunakan gim KEPO memiliki perbedaan yang bermakna p<0,05 dengan persentase puas 84%. Simpulan, terdapat pengaruh penggunaan gim KEPO terhadap lima dimensi kepuasan remaja perempuan.

Deteksi Dini Kanker Payudara dan Lesi Prakanker Serviks pada Tenaga Kesehatan Pringgowibowo, Jaeni; Suardi, Dodi; Anwar, Ruswana
Indonesian Journal of Obstetrics & Gynecology Science Volume 6 Nomor 3 November 2023
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia.v6i3.568

Tujuan: Kegiatan ini untuk menganalisis pengetahuan kanker payudara dan serviks tenaga kesehatan di faskes pertama kabupaten Bogor.Metode: Pelatihan deteksi dini kanker serviks dan payudara tenaga kesehatan di faskes pertama kabupaten Bogor dilakukan 6 hari melalui kuliah, dry lab, dan praktik lapangan. Dilakukan pre-test dan post-test untuk menilai pengetahuan tenaga kesehatan faskes pertama kabupaten Bogor.Hasil: Dari 75 responden perwakilan dari Puskesmas di kabupaten Bogor, 6,67% melakukan pelayanan deteksi dini kanker payudara dan 4,00% melakukan pelayanan deteksi dini kanker serviks. Pengetahuan responden setelah diklat, 100% responden menjawab benar tanda klinis IVA test negatif, pembacaan hasil IVA test setelah 1 menit, anjuran setelah krioterapi, tidak berhubungan selama 4 minggu setelah krioterapi, langkah pemeriksaan payudara, hal yang dilakukan bila menemukan kelainan pada payudara dan setelah digunakan, spekulum didekontaminasi 10 menit direndam dalam larutan klorin 0,5%. Pengetahuan meningkat signifikan mengenai perubahan leher rahim yang abnormal hampir selalu terjadi pada sambungan skuamo-kolumnar, yaitu naik 42,67% (56,00%pada menjadi 98,67% pada post-test).Kesimpulan: Terdapat peningkatan pengetahuan dan keterampilan setelah pelatihan kanker payudara dan serviks, terutama deteksi dini lesi prakanker serviks dan payudara, sehingga dapat disimpulkan upaya pelatihan penting untuk meningkatkan pengetahuan dan keterampilan deteksi dini kanker payudara dan serviks.Knowledge of Healthcare Providers on Early Detection of Breast Cancer and Precancerous Cervical LesionsAbstractObjective: This community service program aims to analyze the level of knowledge of breast cancer and cervical cancer by providing solutions through training for healthcare providers at primary health facilities in Bogor Regency.Method: Training on early detection of cervical cancer and breast cancer for doctors and midwives at primary health facilities at the Bogor Regency health office. The training was carried out for 6 days and was divided into lecture delivery, dry lab, and fieldwork practice at Padasuka Health Center and Puter Health Center. Pre-tests and post-tests were carried out to assess the level of knowledge of healthcare providers at primary health facilities in Bogor Regency.Results: Out of 75 representative respondents from each health center in Bogor Regency, 6.67% provided early detection of breast cancer, and 4.00% provided early detection of cervical cancer. As for respondents’ knowledge after being given training, as many as 100% of respondents answered correctly about the clinical signs of a negative VIA test reading the VIA test results after 1 minute, recommendations after cryotherapy, not to have sexual intercourse for 4 weeks after cryotherapy, steps for breast examination, what to do if they find abnormalities in the breast and after use, and the speculum that should be decontaminated for 10 minutes by immersion in 0.5% chlorine solution. Respondents’ knowledge significantly increased regarding abnormal cervical changes-dysplasia almost always occurred in the squamous columnar junction, which went up 42.67% (from 56.00% on the pre-test to 98.67% on the post-test).Conclusion: There was an increase in knowledge and skills after being given training on breast cancer and cervical cancer, especially knowledge about early detection of precancerous cervical lesions and breast cancer, so it can be concluded that training efforts are very important to increase knowledge and skills for early detection of breast cancer and cervical cancer.Key words: cervical cancer, breast cancer, VIA test

Laporan Kasus: Empty Follicle Syndrome pada Siklus Fertilisasi In-Vitro Rusly, Dewi Karlina; Anwar, Ruswana; Setiawan, Alvin; Nulianti, Rina; Tjandraprawira, Kevin Dominique
Indonesian Journal of Obstetrics & Gynecology Science Volume 7 Nomor 1 Maret 2024
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia.v7i1.590

Pendahuluan: Empty follicle syndrome (EFS) adalah suatu kondisi langka, yaitu tidak terdapatnya oosit pada folikel ovarium yang matang saat tindakan ovum pick-up (OPU). Prevalensi kasus ini berkisar 2,7%. Tujuan: Mengkaji kasus jarang yang terjadi pada siklus Fertilisasi In-Vitro (IVF) yang dilakukan stimulasi ovarium terkontrol.Metode: Laporan kasus pada program IVF siklus pertama yang diberikan stimulasi dengan menggunakan short protocol pemberian human recombinant follicle stimulating hormone (rFSH) 150 IU sejak hari ke-2 sampai dengan hari ke-12 dan cetrotide 0.25 mg pada hari ke-7 hingga hari ke-12 dilanjutkan dengan trigger menggunakan choriogonadotropin alfa 250 μg.Hasil: Perempuan berusia 30 tahun dengan infertilitas 4 tahun, mengikuti program IVF siklus I, dan diberikan stimulasi ovarium terkontrol dengan short protocol menggunakan rFSH 150 IU. Pada hari ke-12 didapatkan 10 folikel pada kedua ovarium, dengan estradiol >3000 pg/ml dan progesteron 0,94 ng/ml. Diputuskan untuk dilakukan trigger dengan choriogonadotropin alfa 250 μg. Setelah 36 jam trigger diberikan dan dilakukan OPU tidak didapatkan satu pun oosit pada cairan folikel tersebut, baik yang matur maupun yang imatur. β-hCG serum pasca-OPU adalah 2,3 mIU/ml. Pasien ditegakkan dengan diagnosis Empty Follicle Syndrome. Kesimpulan. Penegakan diagnosis Empty Follicle Syndrome masih menjadi kontroversial, salah satu etiologinya adalah kadar HCG yang rendah pasca-trigger. Pasien direncanakan untuk IVF ulang dengan batch trigger berbeda dan evaluasi serum β-hCG 36 jam pasca-trigger (sebelum OPU), dan pengulangan trigger bila serum level belum adekuat.Case Report: Empty Follicle Syndrome in an In-Vitro Fertilization CycleAbstractIntroduction: Empty follicle syndrome (EFS) is a rare condition in which no oocytes could be retrieved from mature ovarian follicles during ovum pick-up (OPU). Its prevalence ranges from 2,7%.Objective: To review a rare case of In-Vitro Fertilization (IVF) cycle undergoing controlled ovarian hyperstimulation (COH).Method: This is a case report of a first cycle IVF program that was stimulated using a short protocol of human recombinant follicle stimulating hormone (rFSH) 150 IU from day 2 to 12 and cetrotide 0.25 mg on day 7 to 12 followed by triggering using choriogonadotropin alpha 250 μg.Results: A 30-year-old female with 4 years of primary infertility, was enrolled in her first IVF cycle, and was undergoing COH with short protocol using 150 IU rFSH. On day 12, 10 follicles were found on both ovaries, with favorable oestradiol >3000 pg/ml and progesterone 0.94 ng/ml levels. A trigger of 250 micrograms of choriogonadotropin alpha was administered. During oocyte retrieval, no oocyte (mature or immature) was present in the follicular fluid. Post OPU β-hCG serum was 2.3 mIU/ml. The patient was diagnosed with EFS. Conclusion: The diagnosis of EFS is still controversial with an etiology being post-trigger low HCG level. The patient was recommended to undergo a repeat IVF cycle with a different batch of triggers and evaluation of serum β-hCG before OPU, and a repeat trigger if serum levels were not adequate.Key words: Empty follicle syndrome, β-hCG, Oocytes, Trigger, Ovum Pick-Up

Management of Ovarian Cancer in the Second Trimester of Pregnancy: A Case Report and Literature Review Syarief, Sri Dewi Rahmawati; Ritonga, Mulyanusa Amarullah; Anwar, Ruswana; Suardi, Dodi
Indonesian Journal of Obstetrics & Gynecology Science Volume 8 Nomor 1 Maret 2025
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia.v8i1.778

Introduction: Ovarian carcinoma during pregnancy is a rare but clinically significant condition that requires swift and precise management to optimize maternal and fetal outcomes. This case report highlights the successful conservative surgical management of malignant mucinous ovarian cancer diagnosed in the second trimester. It provides insights into the feasibility and safety of surgical intervention during pregnancy, contributing valuable evidence to the existing literature on oncologic care during pregnancy.Case Illustration: A 21-year-old woman, G1P0A0, presented at 17-18 weeks of gestation with no complaints related to her pregnancy but reported abdominal enlargement over the past three months. At 6 weeks gestation, the patient was diagnosed with an ovarian cyst, later confirmed as a large cystic mass on the right ovary with papillary components through ultrasound. The IOTA simple rules indicate that the mass was suspected to be malignant. The provisional diagnosis was suspected ovarian malignancy with a differential diagnosis of multilocular ovarian cyst. The patient underwent a planned right oophorectomy at 18 weeks gestation. Histopathology revealed a mucinous malignant tumor of the right ovary that had not invaded the right fallopian tube. The pregnancy was continued, and the patient was closely monitored, with plans for further evaluation postpartum.Conclusion: This case highlights the feasibility and safety of conservative surgical management of ovarian cancer in the second trimester, demonstrating that timely intervention can optimize both maternal and fetal outcomes. The successful continuation of pregnancy after surgery reinforces the importance of individualized, multidisciplinary approaches to oncologic care during pregnancy.Penatalaksanaan Kanker Ovarium pada Kehamilan Trimester Kedua: Sebuah Laporan Kasus dan Tinjauan PustakaAbstrakPendahuluan: Karsinoma ovarium pada kehamilan merupakan kondisi yang jarang terjadi tetapi, memiliki implikasi klinis yang signifikan. Penatalaksanaannya memerlukan keputusan yang cepat dan tepat untuk mengoptimalkan hasil bagi ibu dan janin. Laporan kasus ini menyoroti keberhasilan manajemen bedah konservatif pada kanker ovarium mucinous ganas yang terdiagnosis pada trimester kedua kehamilan. Kasus ini memberikan wawasan mengenai kelayakan dan keamanan tindakan bedah selama kehamilan, serta berkontribusi terhadap literatur ilmiah terkait onkologi kehamilan.Ilustrasi Kasus: Seorang wanita berusia 21 tahun, G1P0A0, datang pada usia kehamilan 17 – 18 minggu tanpa keluhan, namun melaporkan pembesaran perut selama tiga bulan terakhir. Pada usia kehamilan 6 minggu, pasien didiagnosis dengan kista ovarium yang kemudian dikonfirmasi sebagai massa kistik besar pada ovarium kanan dengan komponen papiler melalui pemeriksaan ultrasonografi. Berdasarkan IOTA simple rules, massa tersebut dicurigai ganas. Diagnosis sementara adalah dugaan keganasan ovarium dengan diagnosis banding kista ovarium multilokular. Pasien menjalani operasi ooforektomi kanan yang terencana pada usia kehamilan 18 minggu. Hasil histopatologi menunjukkan tumor mukinosa ganas pada ovarium kanan yang tidak menyerang tuba falopi kanan. Kehamilan dilanjutkan, dan pasien dipantau secara ketat dengan rencana evaluasi lebih lanjut setelah persalinan.Kesimpulan: Kasus ini menyoroti kelayakan dan keamanan manajemen bedah konservatif pada kanker ovarium trimester kedua. Intervensi yang tepat dapat mengoptimalkan hasil bagi ibu dan janin. Keberhasilan kelanjutan kehamilan setelah tindakan bedah ini menegaskan pentingnya pendekatan multidisiplin yang disesuaikan dengan kondisi pasien dalam penatalaksanaan kanker pada kehamilan.Kata kunci: kanker ovarium, kehamilan, kanker ovarium musinosum

Expression of Ki-67 has Correlation with the Degree and Size of Endometriosis Cysts Ruswana Anwar; Muhammad Alif; Adhi Pribadi
Journal of Medicine and Health Vol 1 No 1 (2015)
Publisher : Universitas Kristen Maranatha

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.28932/jmh.v1i1.496

Endometriosis is one of the most common gynecological problem. Cells resulted in chronic inflammation and progressive, proliferative, invasive and even infiltrating an area that resembles the character of the malignancy. Ki-67 is an antigen on the cell nucleus that is found only in actively dividing cells. Expression of Ki-67 are associated with an aggressive tumor and metastasis. This study aims to determine the level of Ki-67 expression correlation with stage and size of the endometriosis cyst. Methods research is observational analytic cross cut method on 56 paraffin blocks of patients who have been diagnosed with endometriosis and had performed a laparotomy or laparoscopic surgery in Dr Hasan Sadikin Hospital. The results showed a significant relationship between the level of expression of Ki-67 with endometriosis cyst size (p <0.001) with a fairly strong relationship (0.55) according to statistics based on criteria Guilford. Moreover the results also showed a significant relationship between the level of expression of Ki-67 with endometriosis stage (p <0.001) with a fairly close relationship (0.564) according to statistics based on criteria Guilford. It can be concluded that the expression of Ki-67 associated with cyst size and stage of endometriosis.Â Keywords: Ki-67, endometriosis stage, endometriosis cyst

ADIPONECTIN SERUM LEVEL DIFFERENCE IN WOMEN WITH ENDOMETRIOTIC AND NON-ENDOMETRIOTIC CYSTS Ruswana Anwar; Fahdiansyah Fahdiansyah
Journal of Medicine and Health Vol 1 No 2 (2015)
Publisher : Universitas Kristen Maranatha

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.28932/jmh.v1i2.512

Endometriosis is an estrogen-dependent disease. Low levels of adiponectin resulted in an increased free estrogen levels and the inability to inhibit angiogenesis and the inflammatory process resulting in the development of increasingly severe endometriosis.This study is aimed to determine the differences in serum adiponectin levels in patient with nonendometriotic cyst with endometriosis cyst and its relationship with endometriosis stages. This is an analytical comparative study with cross-sectional method in group of women with endometriotic cyst (n=25) and women with non-endometriotic cysts (n=25), performed either laparoscopic or laparotomy surgery. The serum levels of adiponectin in both groups then compared with statistical analysis.The results showed there were no significant differences (p>0,05) on the characteristics of the study subjects in terms of age (p=0.994) and BMI (p=0.27). Significant differences of adiponectin levels were found between endometriotic patient group (mean=3.91) and nonendometriotic patients group (mean=8.59). There were no significant differences of adiponectin level in stages III endometriosis (mean = 4.24) and stage IV endometriosis (mean = 3.54).It is concluded that serum adiponectin levels in patients with endometriosis is lower than patient with non-endometriotic cyst. There is no relationship between adiponectin levels with endometriosis stage.Â Keywords: adiponectin, endometriotic cyst, non-endometriotic cyst, endometriosis stage

Co-Authors AA Sudharmawan, AA Achmad Suardi Adhi Pribadi Adhi Pribadi Adjat Sedjati Rasyad Adjat Sedjati Rasyad Akhmad Yogi Pramatirta, Akhmad Yogi Alvin Setiawan Anita Deborah Anwar Anita Fitriaturohmah Anita Rachmawati Arief Setiawan Ashifa, Ade Nurul Benny Hasan Purwara Bethy S. Hernowo Dadang Syarif Effendi Damayanti, Melly Dany Hilmanto Dedy Hendry Dewi Karlina Rusly Dewi Nawang Sari Dida Akhmad Gurnida Dodi Suardi Dona Tri Subdari Edhyana Sahiratmadja Endang Sutedja Fahdiansyah Fahdiansyah Fahdiansyah Fahdiansyah Fahdiansyah Fahdiansyah Farid Husin Firman Fuad Wirakusumah Hadi Supriadi Hadyana Sukandar Hanom Husni Syam Hendry, Dedy Herlina, Zaqia Herman, Herry Herri S. Sastramihardja Hidayat Wijayanegara Husin, Farid Ida Ayu Putu Sri Widnyani Insi Farisa Desy Arya Iwan Setiawan Jaeni Pringgowibowo Jaeni Pringgowibowo Kevin Dominique Tjandraprawira, Kevin Dominique Kusteja, Nadya Fauzia Leri Septiani Lisnawati Lisnawati M.T., Vita Ma'mun Sutisna Madjid, Tita Husnitawati Meita Dhamayanti Melia Juwita Adha Muhammad Alif Muhammad Alif Nanan Sekarwana Nulianti, Rina Nurfitriyani, Ela Nurihsan, Achmad Juntika Pringgowibowo, Jaeni Qorinah Estiningtyas Sakilah Adnani Rachmawati, Anita Rahmani, Shofiatunisa Firdhausy Ratna Ratna Rena Nurita Ritonga, Mulyanusa Amarullah Rokhimawaty, Afita Ronny Lesmana Rowawi, Roni Sasongko, Elsa Pudji Setiawati Setyorini Irianti Solly Aryza Sri Komalaningsih Susiarno, Hadi Syarief, Sri Dewi Rahmawati Tita Husnitawati Tita Husnitawati Madjid Tono Djuwantono Ulfa Farrah Lisa, Ulfa Farrah Vita Murniati Tarawan Wijaya, Aqsha Wiryawan Permadi Yunas, Aisya Astri

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